Active NPI
William T. Prosser, CRNA
- Certified Registered Nurse Anesthetist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 421995/2277 RN/CRNA
- Practice address
- 4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460 - Phone
- (916) 734-7985
- Fax
- (916) 734-2975
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 421995/2277 RN/CRNA | CA | Primary |
Addresses
Primary practice location
4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460
Mailing address
4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460
Phone (916) 734-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006406 | Other | CA | PHYSICIAN INDEX # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, WA, MT
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421995/2277 RN/CRNA | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Premier Anesthesia of Oregon PC | Current | Accepting new patients | |
| Ascend Anesthesia Associates Mt LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
400 10th St E
Waconia, MN 55387
2440 Winne Ave
Ste 100
Helena, MT 59601
Phone (406) 452-4200
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
6400 SE Lake Rd
Ste 130
Portland, OR 97222
Phone (503) 594-1774
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Anesthesiology Physician
- Newberg, OR
- NPI 1154010429
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1336819697
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Critical Access Hospital
- Nehalem, OR
- NPI 1568808285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1124004791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "PSSB-SUITE 1200, MED: ANESTHESIA",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-7985",
"fax_number": "916-734-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "PSSB-SUITE 1200, MED: ANESTHESIA",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-7985",
"fax_number": "916-734-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "WILLIAM",
"middle_name": "T.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "421995/2277 RN/CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN INDEX #",
"identifier": "006406",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.